By Lincoln C. Chen, Jaime Sepulveda Amor, Sheldon J. Segal
Over the earlier decade, the AIDS pandemic has propagated so commonly and exerted any such dev astating impression that one might thoroughly ask the query, Why no longer focus all AIDS efforts on affliction regulate on my own? Why hyperlink AIDS with women's reproductive health and wellbeing? what's the medical foundation for this linkage? and the way may possibly reduction~ keep an eye on and women's health and wellbeing targets be promot ed concurrently? those questions represent the imperative subject matters addressed during this monograph. The 15 chapters during this quantity are meant to supply state of the art studies of key interac tions among AIDS and women's reproductive health and wellbeing for an viewers of scientists and coverage makers within the AIDS and inhabitants fields. Impetus for this monograph is available in pan from what we understand to be an insufficient worldwide reaction, up to now, to AIDS and women's overall healthiness ;>roblems. a standard platform has did not emerge one of the disparate specialist groups operating within the parts of AIDS, STDs, and relatives making plans. consequently, endeavors in those fields were remoted, and possibilities for joint motion were neglected. an important and, as but, unharnessed power exists for strength ful interdisciplinary collaborations which could advance regulations and courses opposed to those urgent illnesses of humankind.
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Extra resources for AIDS and Women’s Reproductive Health
These advantages represent a compelling argument for a large-scale program of voluntary testing. A widespread program, and the treatment that would be required for those found to carry the virus, could cost billions of dollars. However, the institution of a voluntary, rather than required, testing program moves the testing question to grounds in which individual good (net benefit of medical care for the individual) is weighed against the social cost of investment and resources used to carry out a program.
The third goal of testing is the public health or preventive purpose. Focusing on high-risk activities, this approach aims to reduce the likelihood of spread of infection to others. This is the rationale for screening donated blood or periodically examining prostitutes in places where their activity is legal. The first purpose described above, surveillance, is grounded in anonymity; the information sought is in the form of numbers and patterns. The second purpose is a personal one; results are (in principle) confidential, and the individual decides what if any action to take.
This is very different from the application of quarantine as a routine response to the HIV epidemic. Premarital testing, which had been required by the state of Illinois, is an example of testing for the purpose of prevention. Such a policy is easy to implement because the individuals involved are often already required to have their blood tested for evidence of other diseases. However, this is a low-risk group, and the cost of administering the policy and the possibility of erroneously identifying a person as carrying the virus outweighs the advantage of detecting the relatively small number of individuals infected (3).
AIDS and Women’s Reproductive Health by Lincoln C. Chen, Jaime Sepulveda Amor, Sheldon J. Segal